Pediatric Clinical Assignment by Rionna Vander Wyk https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j Assessment Data Mind Map en-us 2022-01-28 19:18:08 UTC 2025-10-19 01:11:43 UTC hello@padlet.com Patient Information rionnavanderwyk https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018547393 Name: G.A.
Gender: Female
Age: 7 years old
Weight: 28 kg
Allergies: NKA
Past Medical Hx: Previously Healthy

Primary Medical Diagnosis: Right radius and ulna fractures

]]> 2022-01-28 19:31:47 UTC https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018547393 Medications rionnavanderwyk https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018557511 Tylenol 10-15mg/ kg Q4H PRN
Advil 10mg/kg Q6H PRN
Morphine 5mg PO Q4H PRN
Morphine 1mg IV Q1H PRN]]> 2022-01-28 19:38:55 UTC https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018557511 Pain rionnavanderwyk https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018561697 8/10 pain using numbers pain scale.

Throbbing pain to right arm.]]> 2022-01-28 19:41:40 UTC https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018561697 Cardiovascular rionnavanderwyk https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018577427 BP: 130/ 85 (elevated)
HR: 120 (elevated)
Cap refill: > 3 seconds (prolonged)

Edema present on right fingers.

Pedal pulses palpable and strong.

*Unable to assess right radial pulse d/t cast*]]> 2022-01-28 19:53:02 UTC https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018577427 Respiratory rionnavanderwyk https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018580717 RR: 22 (elevated)
O2 Sats: 99% on RA (normal)

Respirations easy and regular. No adventitious sounds heard throughout lung fields.

]]> 2022-01-28 19:55:32 UTC https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018580717 Gastrointestinal rionnavanderwyk https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018584255 Abdomen soft and flat. Bowel sounds present and active x4 quadrants. Last had a bowel movement yesterday. ]]> 2022-01-28 19:58:13 UTC https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018584255 Genitourinary rionnavanderwyk https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018585601 Voiding normally as per patient. ]]> 2022-01-28 19:59:03 UTC https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018585601 Neurological rionnavanderwyk https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018589427 A+O x3]]> 2022-01-28 20:01:56 UTC https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018589427 Integumentary rionnavanderwyk https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018592508 Cast to right arm dry and intact.]]> 2022-01-28 20:04:22 UTC https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018592508 X-Ray rionnavanderwyk https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018595430 Pre- Surgery: X-ray shows fracture to both right ulna and radius bones.

Post-Surgery: X-ray shows pins used to secure bones during surgical repair.]]> 2022-01-28 20:06:43 UTC https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018595430 Neurovascular rionnavanderwyk https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018606905 Numbness to right pinky and ring finger noted.]]> 2022-01-28 20:15:47 UTC https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018606905 Family rionnavanderwyk https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018607488 Lives with Mom, Dad, and older sister (12 years old). 

Both parents work full time.]]> 2022-01-28 20:16:17 UTC https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018607488 Stress/ Coping rionnavanderwyk https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018607893 Family concerned.

Family also worried about being in the hospital during a pandemic (none of them have been vaccinated yet).

Would like to go home as soon as possible. ]]> 2022-01-28 20:16:39 UTC https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018607893 Strengths rionnavanderwyk https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018608470 Patient is able to express her needs verbally and utilize the pain scale appropriately. 

Supportive friends and family.


]]> 2022-01-28 20:17:11 UTC https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018608470 Resources rionnavanderwyk https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018608600 Aunt lives next door with her family.]]> 2022-01-28 20:17:18 UTC https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018608600 Treatment: Surgery rionnavanderwyk https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018609439 ORIF Right forearm

Cast to right arm.]]> 2022-01-28 20:18:00 UTC https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018609439 Developmental rionnavanderwyk https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018609874 Erikson: Industry vs. Inferiority
 
Feel degree of inferiority regarding skills they cannot master.

Eagerness to develop skills and participate in meaning and socially useful work.

Peer approval is important.

Rules and rituals, team play ]]> 2022-01-28 20:18:23 UTC https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018609874 Psychological rionnavanderwyk https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018647731 Patient unable to move fingers as afraid.]]> 2022-01-28 20:50:50 UTC https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018647731 Labs rionnavanderwyk https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018648746 Droplet and Contact precautions until swab comes back. ]]> 2022-01-28 20:51:45 UTC https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018648746 PIV rionnavanderwyk https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018650864 PIV Saline lock to left hand.

]]> 2022-01-28 20:53:46 UTC https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018650864 rionnavanderwyk https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018876953 What date was the surgery? What date post-op am I caring for this patient?]]> 2022-01-29 03:33:45 UTC https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018876953 rionnavanderwyk https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018877629 Pitting or non-pitting edema? 

What grade? (1+ - 4+)]]> 2022-01-29 03:35:33 UTC https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018877629 rionnavanderwyk https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018878777 Right brachial pulse?]]> 2022-01-29 03:38:25 UTC https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018878777 rionnavanderwyk https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018879217 When was the last medication given? What medication was given? ]]> 2022-01-29 03:39:33 UTC https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2018879217 rionnavanderwyk https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2019403234 Patient is at risk for compartment syndrome.

Cardinal signs: pain, paresthesia, polar, pallor, paralysis, and pulselessness.

How is her color? Warmth?

]]> 2022-01-29 19:13:34 UTC https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2019403234 rionnavanderwyk https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2019404279 *The most common symptom of acute compartment syndrome is severe pain that doesn't improve after taking medication*]]> 2022-01-29 19:15:33 UTC https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2019404279 rionnavanderwyk https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2019421421 G.A. and her sister are both involved in gymnastics and Jiu-jitsu weekly. With her broken arm, G.A. may not be able to participate --> disrupting her routine and social engagement with peers. This could have an impact on her psychological well-being. ]]> 2022-01-29 19:43:58 UTC https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2019421421 rionnavanderwyk https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2019422110 How is G.A. coping? ]]> 2022-01-29 19:45:12 UTC https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2019422110 rionnavanderwyk https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2024654653 G.A is at risk for anxiety r/t fear of the unknown, lack of knowledge regarding symptoms, and potential inability to participate in extra-curricular activities. ]]> 2022-02-02 04:02:00 UTC https://padlet.com/rionnavanderwyk/heb0ipeygg24pw1j/wish/2024654653